Loaʻa i kāu pēpē ka Cystic Hygroma? Mai hopohopo, e makaʻala kākou i kēia.

Ua ʻike anei ʻoe i kahi puʻupuʻu liʻiliʻi ma lalo o ka ʻili o ka ʻāʻī o kāu pēpē, ka ʻāʻī lima, a i ʻole ke poʻo i hopohopo ai ʻoe? A i ʻole ua ʻōlelo paha kāu kauka iā ia i ka wā o ka scan i kou wā hāpai? He ʻano maʻi paha kēia i kapa ʻia ʻo Cystic Hygroma . He mea maʻamau ke manaʻo iki i ka makaʻu ke lohe ʻoe i kēia inoa. Akā i ka manawa e ʻike ai ʻoe i ke ʻano o ia mea, e nalo aku kēlā makaʻu a e ʻike maikaʻi ʻoe i ke ʻano e hana ai me ia.

I ka ʻōlelo maʻalahi, he aha ka Cystic Hygroma?

He cyst piha wai ka Cystic Hygroma, a he nui paha nā cysts. Ua like ia me kahi pōpō wai. Hoʻomohala pinepine ʻia kēia mau mea ma ke poʻo a i ʻole ka ʻāʻī o kahi pēpē. Akā i kekahi manawa hiki iā lākou ke ulu ma nā wahi e like me nā ʻāʻī lima a me ka umauma.

ʻO ke kumu o kēia, aia kahi ālai ʻana i loko o ka ʻōnaehana lymphatic i loko o ko kākou kino. E noʻonoʻo i kēia ʻōnaehana lymphatic e like me kahi ʻōnaehana e wehe ana i nā ʻōpala mai ko kākou kino. ʻO kēia ʻōnaehana ka mea e kānana i nā mea ʻino e like me nā germs a kōkua i ka mālama ʻana i ke kino i ke olakino. No laila, inā he ālai ʻana ma kekahi wahi o kēia ʻōnaehana i ka wā e ulu ana ka pēpē i loko o ka ʻōpū, hōʻiliʻili ka wai ma laila a hana ʻia kahi cyst e like me kēia.

I kekahi manawa e ho'ōla pono'ī kēia mau pu'upu'u me ka ʻole o ka lā'au lapa'au. Eia na'e, inā ʻa'ole, ʻo ke ʻoki ʻana e wehe iā lākou ke koho maikaʻi loa, no ka mea hiki iā lākou ke hōʻino i nā kino a puni, hoʻoulu i nā maʻi, a hoʻoulu i ka ʻoluʻolu ʻole i ka wā e ulu ana ka pēpē.

He aha nā hōʻailona o kēia?

Pili nā hōʻailona i ka wahi a me ka nui o ka puʻupuʻu. I kekahi manawa, hiki i ka puʻupuʻu ke hoʻopilikia i ka hana maʻamau o nā ʻōpū a puni. E nānā kākou i nā hōʻailona nui.

He aha nā kumu o ka Cystic Hygroma?

Hiki i nā genes o ka pēpē a me ke kaiapuni i loko o ka ʻōpū ke hoʻopilikia i ka ulu ʻana o kēia ʻōnaehana lymphatic. ʻO kahi pilikia me ka ulu ʻana o kēia ʻōnaehana ke kumu nui o Cystic Hygroma.

I kekahi manawa hiki ke hana ia ma kona iho me ka ʻole o kekahi maʻi ʻē aʻe. Eia nō naʻe, i kekahi mau hihia hiki ke pili i nā kūlana genetic . Eia kekahi laʻana:

• ʻO ka maʻi Turner
• ʻO ka maʻi Down
• ʻO ka maʻi Noonan

Ke hana nei nā kauka i nā hoʻokolohua kūikawā e ʻike ai inā he pilina me nā kūlana e like me kēia.

Inā loaʻa kēia ʻano maʻi i nā pākeke, hiki ke kumu ʻia e kekahi ʻano ulia ( trauma ) a i ʻole kahi maʻi hanu ma mua. Eia nō naʻe, i ka hapanui o nā hihia, he paʻakikī ke loaʻa kahi kumu kikoʻī no kēia ʻano maʻi i nā pākeke.

Pehea e ʻike ai nā kauka i kēia maʻi?

I ka wā hāpai

ʻO ka hapa pinepine, ʻo ka ultrasound i ka wā hāpai e hōʻike i kēia mau mea:ʻO kēia ka manawa mua e ʻike ai ke kauka i kēia puʻupuʻu. Hiki ke ʻike ʻia ma kahi o 20 mau pule o ka hāpai ʻana.

Inā hōʻike ke kiʻi i kahi mea e like me kēia, e paipai ke kauka e hana i kekahi mau hoʻokolohua hou aʻe e hōʻoia i ʻole he mau pilikia hoʻoilina ʻē aʻe o ka pēpē.

• CVS (Chorionic Villus Sampling) : Pili kēia i ka lawe ʻana i kahi ʻāpana liʻiliʻi loa o ka ʻiʻo mai ka placenta o ke pēpē a hoʻāʻo iā ia no nā kūlana genetic.
• Amniocentesis: Pili kēia i ka lawe ʻana i kahi liʻiliʻi o ka wai (wai amniotic) i loko o ka ʻōpū o ke pēpē a hoʻāʻo iā ia.

Mai makaʻu e nīnau e pili ana i kēia mau hoʻokolohua. E wehewehe pono kāu kauka i nā mea āpau iā ʻoe. Pono nō hoʻi ʻoe e hana i nā scan maʻamau e nānā i nā loli i ka puʻupuʻu a me nā pilikia ʻē aʻe.

E hoʻolālā pinepine kāu kauka e hānau i kāu pēpē ma o ka ʻoki cesarean (C-section) ma kahi o 38 mau pule. Pono ʻoe e koho i kahi haukapila me kahi Neonatal Intensive Care Unit (NICU) a me nā kauka ʻoki keiki . ʻO kēia no ka mea pono i ka haukapila nā pono āpau e pono ai e mālama i kāu pēpē inā pono ʻo ia i ka mālama ulia pōpilikia ma hope o ka hānau ʻana. E kōkua kāu kauka iā ʻoe e koho i kahi haukapila kūpono no kēia.

Ma hope o ka hānau ʻana

I kekahi manawa ʻike ʻia kēia puʻupuʻu ma hope o ka hānau ʻana o ke pēpē. Inā hana ʻia kēia, e kauoha ke kauka i nā hoʻokolohua e like me ka X-ray umauma, ultrasound scan, a i ʻole MRI/CT scan e hōʻoia inā he cystic hygroma ia.

He aha nā lāʻau lapaʻau?

ʻO ka lāʻau lapaʻau nui a kūleʻa loa no ka cystic hygroma, ʻo ia ka wehe loa ʻana i ka ʻōpū ma o ke ʻoki ʻana.

Eia nō naʻe, inā waiho ʻia kahi ʻāpana liʻiliʻi o ka puʻupuʻu i ka wā o ke ʻoki ʻana, aia ma kahi o 15% ka pilikia o ka hoʻi hou ʻana mai. Aia kekahi mau lāʻau ʻē aʻe, ʻoiai ʻaʻole lākou i holomua e like me ke ʻoki ʻana.

• Kemoterapia
• Hoʻōla radiation
• Nā steroid
• Sclerotherapy: ʻO kēia ka hoʻokomo ʻana i kahi lāʻau lapaʻau kūikawā i loko o ka puʻupuʻu, e hoʻemi ana.

He aha nā pilikia e hiki mai ana?

Aia kahi pilikia o nā pilikia i loko o ia ʻano kūlana. Akā he mea nui e makaʻala i kēia mau mea ma mua. Hoʻomaopopo mau nā kauka i kēia mau pilikia a lawe i nā hana e pono ai e pale aku iā lākou.

• Hiki ke hoʻonui a emi paha ka nui o ka wai amniotic i loko o ka ʻōpū i ka wā hāpai.
• I kekahi mau hihia, aia paha ka pilikia o ka hāʻule ʻana.
• Inā nui ka puʻupuʻu, hiki ke ālai i ke ala ea o ke pēpē.
• Aia paha kekahi mau loli i ke ʻano o ka maka.
• Hiki i ka ʻōpū ke hana i kahi maʻi ʻili e like me ka cellulitis .
• Aia paha he mau pilikia e like me ka hōʻino ʻana o nā aʻalolo a i ʻole ke kahe nui ʻana o ke koko ma hope o ke ʻoki ʻana.
• ʻOiai ma hope o ke ʻoki ʻana, aia kahi manawa liʻiliʻi e ulu hou ai ka puʻupuʻu.